The start of the New Year is when most people make resolutions, one of the most common being “this is the year I am going to do something about my wrinkles.”

Meet Dr. Lisa Kotas. She is a board certified physician with more than 18 years of experience. Dr. Kotas saw that her patients increasingly wished they could receive their injectable aesthetics procedures in the comfort of their own homes or offices.

Most physicians might laugh that off, but Dr. Kotas listened to them, and said, “why not?”

“One of the greatest luxuries now is healthcare at your fingertips,” says the Dallas-based physician and founder of Youth Secret: Luxury in Home Aesthetic Services . “My patients love getting their treatments in the comfort, beauty and privacy of their own homes — because your home can be the best wellness center anywhere.” 

It only makes sense to blend the luxury of health into the luxury of your home. In fact, one of the biggest trends we are hearing about in future home and hotel design definitely includes wellness. We have seen it in many homes in Dallas: private massage rooms, spas, even beauty salons.

Some homes are even including a rejuvenation room.

Take this home in San Francisco, going on the market for $28 million, has taken the in-house spa concept to a new high. The home, in San Francisco’s Cow Hollow, is an 8,500 square foot home on five levels built around a complete wellness center. One entire floor is devoted to at-home wellness. That floor consists of a home gym, a massage room and a spa with a glass-walled sauna that leads out onto a spacious deck, which doubles as an outdoor yoga studio.

For medical procedures, the home has also been outfitted with air filtration systems which completely recirculate the air in the house every two to three hours. There are also water filtration systems that ensure the cleanliness of drinking water with a most conservationist bent: the shower and laundry water is repurposed for irrigation.

Why would anyone want a wellness center in their home? Because there is no place like home to have your plastic surgery touch ups.

Lisa Kotas, M.D.


A rendering of the property.

Vantage Design

Consumers, buyers, are so darn tootin sophisticated in what they want these days: Clean lines. Transitional. Open floor plans. Granite and lots of real stone. Hardwoods. Huge professional type kitchens with all the latest gadgets installed as soon as they arrive in the US.  High ceilings (but not too high). Vessel bathtubs. Spa master baths. Outdoor living areas, maybe now separating the outdoor grill/stove from the living area to reduce smoke. Smart home electronics you can manage from your iphone.

Deion Sanders (22).jpgmaster bath

Deion Sander’s spa bath

And now, apparently, $12,000 coffeemakers. At least that’s what they are putting in a Beverly Hills home for the discriminating California home buyer. Which means, the trend will soon be heading east and south to Texas.